NHS reforms will lead to a tsunami of bureaucracy- NHS leader
The NHS reforms will lead to ‘a myriad of conflicting polices’ and ‘a tsunami of bureaucracy’, one of the most senior figures in the health service has warned.Mike Farrar, chief executive of the NHS Confederation, said the health service faces seven new organisations interfering with the day to day operation.
He said: “They need to minimise the burdens their policies place on the system by making it as easy as possible to comply. With so many new structures, the danger of a tsunami of new bureaucracy is obvious.
“The NHS must stay focused on patient care, not repeatedly providing information in different formats to multiple bodies.”
He warned that managers in the organisations lack experience while others warned of financial pressures caused by stringent efficency savings and disruption caused by the reorganisation.
Primary Care Trusts and Strategic Health Authorities are being abolished and replaced with a National Commissioning Board and local Clinical Commissioning Groups led by doctors and handling the majority of the NHS budget.
Meanwhile public health responsibilities will be transferred to a new body and local councils and patients will be represented by a new organisation called Healthwatch.
Mr Farrar said: “Performance in many parts of the system will be patchy at first. So we need to ensure public and political expectations are realistic. All those involved will make mistakes.
“Those leading the change need to be open-minded and flexible to improve policy and practice as we go. We are losing many experienced leaders.”
“We need to ensure that as new ones emerge, taking on these challenges, they are given the support and cover they need to succeed, even if that means tolerating some difficulty along the way.”
The survey revealed the biggest concerns were over the expanded role of the new super-regulator, the Care Quality Commission, and Healthwatch.
Mr Farrar said: “To be successful, these new organisations must listen to NHS leaders. They must avoid overwhelming NHS organisations with complexity and instead focus on the critical overarching concerns that will matter most in the end.”
“It’s essential that national bodies ensure they are driving towards the same goals, not subjecting the NHS to a myriad of conflicting policies. Otherwise the NHS will be pulled in different directions and unable to make progress.”
Tags: Care Professionals, Health Direct, Health Professionals, National Health Service, NHS, preventable crisis, Quangos, red tape